Are You Eligible? 

You may enroll in a BlueAdvantage PFFS plan if:

• You are enrolled in Medicare Part A and Part B due to your age or disability.
• You are a resident of Tennessee.
• You are enrolling during one of the enrollment periods.
• You are not medically determined to have chronic end-stage renal disease (ESRD) on the date you sign your enrollment form. ESRD is when the kidneys are permanently and irreversibly damaged requiring regular dialysis or transplantation.

If you have ESRD, you may be eligible if one of the following applies:

• You are currently a non-Medicare member of a BlueCross BlueShield of Tennessee health plan.
• You are affected by the termination, non-renewal or service area reduction of your current Medicare Advantage plan.
• You have had a successful kidney transplant and no longer require dialysis.
• You started dialysis treatments for ESRD but recovered original kidney function and no longer require dialysis.

If you develop a kidney disease after you enroll, you cannot be asked to leave or be disenrolled for any health-related reason. However if you develop ESRD while on a BlueAdvantage plan, you are not eligible to enroll in another Medicare Advantage plan from a different company.

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help, call:

• 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7days a week;
• The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or
• Your State Medicaid Office.

People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If eligible, Medicare could pay for seventy-five percent of drug costs including monthly  prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.